| Organization Name: | TRI-CITY HOME MEDICAL, INC. |
| NPI Number: | 1639161177 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OBIE DERREK NEVELS (OWNER) |
| Mailing Address: | 3878 Highway 4 Jay |
| State: | FL US |
| Postal Code: | 325651753 |
| Phone Number: | 8506751221 |
| Fax Number: | 8506751270 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 1312572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |